RxDoctor Payments Data

Lonny Nodelman

Foot & Ankle Surgery · Fairfax, VANPI 1891058921

Payments from drug & device makers

What this record shows

This record is dominated by education: $2,400 of the $2,742 with a category attached, or 87.5%. Supreme Orthopedic Systems, LLC accounts for 88.4% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2021 at $1,276 and has fallen 88.6% since, to $146 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in VA, where the typical reported total is $3,404.

$2,742in general payments, 2019–2025

Across 17 payments — averaging $161.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Supreme Orthopedic Systems, LLC$2K
  • Smith+Nephew$84
  • Misonix Inc$42
  • Stryker$37
  • Reapplix Inc.$37
  • Organogenesis Inc.$27
  • plus $93 from 5 others

What the payments were for

  • Food & beverage$34212%
  • Education$2,40088%

General payments by program year

21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

How this compares

$2,742 in reported general payments places this provider in the 40th percentile of 260 foot & ankle surgery providers in Virginia.

See all foot & ankle surgery providers in Virginia →

Medicare billing

Part B allowed, 2024
$550,300
Medicare patients
189
Services billed
1,380

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Doxycycline Hyclate13$74

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in Fairfax

See the full list for Virginia →

Where these figures come from

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